Gaebel Gabor, Hinterseher Irene, Saeger Hans Detlev, Bergert Hendrik
Department of Visceral, Thoracic, and Vascular Surgery, University Hospital Carl-Gustav-Carus Dresden, Dresden, Germany.
J Vasc Surg. 2009 Oct;50(4):910-4. doi: 10.1016/j.jvs.2009.05.004.
Symptomatic compression of the celiac trunk by crura of the diaphragm is a rare disorder. Even more infrequent external compression of renal arteries is found. Although the indication for surgical therapy is controversially discussed in the literature for celiac artery compression syndrome, it is unequivocally for renal artery entrapment. We present the case of a young woman who was assigned to our hospital with arterial hypertension and stenosis of the left renal artery. After percutaneous transluminal angioplasty was performed, immediate recoil occurred. Therefore, the suspicion of entrapment by diaphragmatic crura was expressed. Additionally performed diagnostic procedures including computed tomography (CT)-angiography verified our suspicion. Surgical decompression of both vessels was successfully performed.
由膈肌脚对腹腔干进行的有症状压迫是一种罕见的病症。更为罕见的是发现肾动脉受到外部压迫。尽管在文献中对于腹腔动脉压迫综合征的手术治疗指征存在争议性讨论，但对于肾动脉受压而言，手术指征是明确的。我们报告一例年轻女性病例，她因动脉高血压和左肾动脉狭窄被转诊至我院。在进行经皮腔内血管成形术后，立即出现了血管回缩。因此，怀疑是由膈肌脚压迫所致。另外进行的包括计算机断层扫描（CT）血管造影在内的诊断程序证实了我们的怀疑。成功地对两条血管进行了手术减压。
